Individual provider · Type 1 NPI

Kenneth Christopher Gavina, PhD

Clinical Laboratory Director (Non-physician) · Indianapolis, IN

NPI number 1326747155 Active

Practice location

350 W 11th St
Indianapolis, IN 46202-4108

Call (317) 491-6000 Map

Fax (317) 491-6534

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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About NPI 1326747155

Kenneth Christopher Gavina, PhD's National Provider Identifier is 1326747155, issued on Mar 1, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 1, 2023.